During the COVID-19 pandemic, governments changed rules and procedures related to Medicaid enrollment. These changes decreased many of the burdens eligible people face when signing up for programs and contributed to a 30 percent increase in Medicaid enrollment. However, the … Read More
A federal jury in the Northern District of Texas convicted the owner of several compounding pharmacies today for paying illegal marketing kickbacks involving TRICARE, a federal program that provides health insurance benefits to active duty and retired service members and … Read More
Centene subsidiary Superior HealthPlan was awarded a new six-year contract to administer Texas’ Medicaid coverage for the aged, blind and disabled population. Superior HealthPlan has held contracts to administer the program since 2007, according to a July 26 news release. … Read More
The Texas OIG exclusions database is a list of excluded individuals and entities similar to the federal HHS OIG exclusion database. The primary difference between the two databases is that the Texas OIG exclusions database contains the names of individuals … Read More
At least 26 patients have accused a top Arkansas doctor of holding them against their will for days or weeks at a psychiatric unit, where they rarely received care and were given strong sedatives without their consent, NBC News reported. … Read More
For seven years, Maricela Delcid has guided Texans through the Medicaid application minefield, working past language barriers and documentation issues out of a community center in Houston. But her clients have never been more confused or frustrated than now, since … Read More
NORTHAMPTON, MA / ACCESSWIRE / July 21, 2023 / Marathon Petroleum Corporation: Dental schools in two states are reaching underserved populations with dental care they otherwise might not get as a result of grants from Marathon Petroleum Corporation. Funding in … Read More
HARLINGEN, TX—Rio Hondo’s own Laura Trevino is one of a number of Texas State Technical College’s Dental Hygiene Program students training to meet the need for workers in Texas. According to a recent American Dental Association report, the dental sector … Read More
Two brothers have joined five other South Florida residents in admitting to being part of a $67 million scam that targeted Medicare recipients to enrich themselves with federal funds. The guilty pleas came after four days of trial in the … Read More
SACRAMENTO — The owner of one of California’s largest chains of pain management clinics has agreed to pay nearly $11.4 million to California, Oregon, and the federal government to settle allegations of Medicare and Medicaid fraud. The U.S. Department of … Read More
Over the last four years, the State Comptroller’s Office has helped recover $73 million in improper Medicaid payments to New Jersey doctors, hospitals, nursing homes and other health care providers. Some of it involved legitimate billing errors uncovered in audits. … Read More
The National Health Care Anti-Fraud Association estimates that tens of billions of dollars per year are lost to healthcare fraud, including Medicare fraud. Many of these losses can be attributed to the fact that Medicare is required to pay medical … Read More
KNOXVILLE, Tenn. (WATE) — A Knoxville man was sentenced to two years in prison for a health care fraud scheme that caused Medicare to pay more than $400,000, according to the Department of Justice and the Federal Bureau of Investigation. … Read More
Prism Health North Texas is proud to share that Jocelyn Kidd DDS, dentist at Prism Health North Texas Dental’s Vickery Clinic, has been named as an honoree ahead of the National Dental Association (NDA) celebrating the 10th anniversary of NDA-HEALTH … Read More
The health records company NextGen Healthcare will pay $31 million to resolve allegations that it paid kickbacks to win customers and concealed shortcomings of its software to gain government certification. The settlement caps a lengthy investigation that cast a harsh … Read More
CHATTANOOGA, Tenn. — A Chattanooga-based dermatologist who owns skin cancer clinics at locations throughout our viewing area has agreed to pay the federal government more than $6 million to settle insurance fraud claims. The U.S. Department of Justice (DoJ) says … Read More
The Silver Spring owner of Holy Health Care Services pled guilty Wednesday to conspiracy to commit health care fraud in connection with a scheme to pay bribes and kickbacks to Medicaid beneficiaries and then charge Medicaid. Mboutchock Kabiwa, who also … Read More
SAN ANTONIO–(BUSINESS WIRE)–Local dental practices across Texas proudly served six communities’ oral health needs by joining forces with parent company Benevis for its eighth annual Sharing Smiles Day on Sunday, May 21, 2023. To celebrate their dedication to addressing the … Read More
At the Red Bird Mission dental clinic in Southeastern Kentucky, patients with few or no teeth now are eligible for dentures through an expansion of the state’s Medicaid dental services for adults. “People are tickled to death,” said Dr. Bill … Read More
A federal judge handed down one of his stiffest sentences yet in a vast $50 million prescription drug scheme that has snagged Jersey Shore firefighters, teachers, police officers, doctors and a pizza shop owner, sentencing a Margate firefighter to eight … Read More
PHOENIX – A Mesa woman admitted in court to defrauding Arizona’s Medicaid agency of millions of dollars, authorities said Thursday. Diana Marie Moore, 42, pleaded guilty Monday to charges of wire fraud and money laundering, the U.S. Attorney’s Office for … Read More
Frisco, Texas – A significant ruling was recently delivered in the Eastern District of Texas. The case in question concerned a resident of Frisco who was involved in unlawful activities tied to wire fraud, as announced by U.S. Attorney Damien … Read More
On July 7, 2023, U.S. Attorney Damien M Diggs announced the sentence of 54 months in federal prison for Oscar Simon Ndereva from Frisco, for wire fraud violations in the Eastern District of Texas. According to the Attorney’s Office statement, … Read More
On June 28, New York Attorney General Letitia James filed a lawsuit against the owners, operators, and landlords of four nursing homes for years of repeated and persistent fraud and illegally misusing more than $83 million in taxpayer money that … Read More
Franklin, Tennessee-based Health Connect America, with locations in Big Stone Gap and Culpeper, Virginia, has agreed to pay more than $4.6 million to resolve allegations that it billed Virginia Medicaid for services not provided, according to the U.S. Department of … Read More
Gov. Greg Abbott has appointed Angela Colmenero, his deputy chief of staff, to take over as the state’s interim attorney general as Ken Paxton remains suspended from office pending an impeachment trial in the Senate in September. In late May, … Read More
North Carolina resident Anthony Brooks spent the last few weeks rushing to schedule doctor’s appointments and procedures to treat his chronic heart problems. The 57-year-old is set to lose his health care coverage through Medicaid at the end of the … Read More
AUSTIN – The Office of the Attorney General (“OAG”) reached a $5 billion multistate settlement with CVS for the company’s role in the national opioid epidemic, including inadequately monitoring opioid prescriptions. Over $300 million is designated for Texas. The agreement … Read More
FRISCO, Texas — A Frisco man has been sentenced to federal prison for wire fraud violations in the Eastern District of Texas, according to U.S. Attorney Damien M. Diggs. Oscar Simon Ndereva, 45, pleaded guilty to wire fraud and was … Read More
California AG Rob Bonta, in partnership with the DOJ, settled with four health care providers to resolve allegations that they violated state and federal False Claims Acts through the submission of fraudulent claims to Medi-Cal, California’s Medicaid program. According to … Read More
Wednesday, August 9th, 2023 | 12:00 PM – 1:00 PM CT With nearly half of Americans delaying oral care due to economic constraints and an estimated 15 million set to lose Medicaid benefits, dental practices nationwide will likely face an … Read More
SIOUX CITY — There are not enough hands to treat all of the dental pain in Siouxland, according to Dr. Ashley Huber. Siouxland Community Health Center’s dental clinic, which Huber directs, prioritizes pediatric patients and has a limited number of … Read More
The Supreme Court recently handed down three rulings regarding affirmative action at colleges and universities, religious accommodations for employees and student loan forgiveness. Here is how the three rulings could impact the dental industry: Affirmative action The Supreme Court ruled … Read More
Two executives of an Overland Park-based company have been charged with conspiring to commit $1.9 billion in health care fraud, marking what officials called one of the largest such schemes prosecuted in Justice Department history. Johnson County residents Brett Blackman, … Read More
A federal court June 30 enjoined the Centers for Medicare & Medicaid Services from implementing and enforcing a bulletin addressing Medicaid funding and the redistribution of Medicaid payments, siding with the state of Texas in the ongoing legal challenge. Texas … Read More
The Department of Justice (DOJ) recently released dozens of federal and local criminal charges that address a mass of healthcare fraud schemes. The department has named 78 defendants that allegedly took advantage of at-risk individuals, using patient access to the … Read More
Last week in Trenton federal court, Alexander Schleider of Lakewood, admitted his role in a durable medical equipment kickback scheme as well as wire fraud in connection with pandemic relief money. Schleider, 57, owned and operated durable medical equipment (DME) … Read More
An Ocean County man admitted his role in a durable medical equipment kickback scheme, U.S. Attorney Philip R. Sellinger announced. According to officials, Alexander Schleider, 57, of Lakewood, pleaded guilty in Trenton federal court to an information charging him with … Read More
The U.S. Justice Department on Wednesday announced federal and local criminal charges targeting 78 defendants across 16 states as part of a law enforcement action involving $2.5 billion in alleged health care fraud schemes targeting elderly and disabled people, HIV … Read More
A West Hartford woman has been arrested and charged with submitting false claims to the Connecticut Medicaid Health Insurance Program. Lorena Soto-Bunker, 48, of Seneca Road, West Hartford, was arrested Wednesday by Inspectors from the Medicaid Fraud Control Unit in … Read More
